Individual
MALLORY ANN DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
105 FINANCIAL PL, ELIZABETHTOWN, KY 42701-8437
(270) 765-5112
Mailing address
9309 HOLIDAY DR, LOUISVILLE, KY 40272-2673
(989) 980-4797
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
3015251
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
0024183595
VA
Other
Enumeration date
10/17/2020
Last updated
04/28/2022
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